In this episode, we discuss the common causes and pathophysiology of one of the more ominous reasons for chest pain - aortic dissection. We'll go through clinical presentation, history and physical exam as well as provide information about the JAMA Rational Clinical Exam findings that support the diagnosis. Finally, we'll talk about management of both Type A and Type B dissections both in the acute and chronic phase. Our medicine minute tackles the ADD-RS score - when to use it, and how to interpret it when seeing a patient with a suspected aortic dissection. Written by: Dr. Leah Kosyakovsky (Intenral Medicine Resident)Reviewed by: Dr. Stephanie Poon (Cardiology) and Dr. Steve Shumak (General Internist)Sound editing: Nathan DoupnikInfographic: Caitlyn Vlasschaert